Reduction of oxidative stress by carvedilol: role in maintenance of ischaemic myocardium viability

To differentiate the impact of the beta-blocking and the anti-oxidant activity of carvedilol in maintaining myocardium viability. Isolated rabbit hearts, subjected to aerobic perfusion, or low-flow ischaemia followed by reperfusion, were treated with two doses of carvedilol, one dose (2.0 microM) wi...

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Veröffentlicht in:Cardiovascular research 2000-08, Vol.47 (3), p.556-566
Hauptverfasser: CARGNONI, A, CECONI, C, BERNOCCHI, P, BORASO, A, PARRINELLO, G, CURELLO, S, FERRARI, R
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container_end_page 566
container_issue 3
container_start_page 556
container_title Cardiovascular research
container_volume 47
creator CARGNONI, A
CECONI, C
BERNOCCHI, P
BORASO, A
PARRINELLO, G
CURELLO, S
FERRARI, R
description To differentiate the impact of the beta-blocking and the anti-oxidant activity of carvedilol in maintaining myocardium viability. Isolated rabbit hearts, subjected to aerobic perfusion, or low-flow ischaemia followed by reperfusion, were treated with two doses of carvedilol, one dose (2.0 microM) with marked negative inotropic effect due to beta-blockage and the other (0.1 microM) with no beta-blockage nor negative inotropism. Carvedilol was compared with two doses of propranolol, 1.0 - without - and 5.0 microM - with negative inotropic effect. Anti-oxidant activity was measured as the capacity to counteract the occurrence of oxidative stress and myocardium viability as recovery of left ventricular function on reperfusion, membrane damage and energetic status. Carvedilol counteracted the ischemia and reperfusion induced oxidative stress: myocardial content of reduced glutathione, protein and non-protein sulfhydryl groups after ischaemia and particularly after reperfusion, was higher in hearts treated with carvedilol, while the myocardial content of oxidised glutathione was significantly reduced (0.30+/-0.03 and 0.21+/-0.02 vs. 0.39+/-0.03 nmol/mg prot, both P
doi_str_mv 10.1016/s0008-6363(00)00082-1
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Isolated rabbit hearts, subjected to aerobic perfusion, or low-flow ischaemia followed by reperfusion, were treated with two doses of carvedilol, one dose (2.0 microM) with marked negative inotropic effect due to beta-blockage and the other (0.1 microM) with no beta-blockage nor negative inotropism. Carvedilol was compared with two doses of propranolol, 1.0 - without - and 5.0 microM - with negative inotropic effect. Anti-oxidant activity was measured as the capacity to counteract the occurrence of oxidative stress and myocardium viability as recovery of left ventricular function on reperfusion, membrane damage and energetic status. Carvedilol counteracted the ischemia and reperfusion induced oxidative stress: myocardial content of reduced glutathione, protein and non-protein sulfhydryl groups after ischaemia and particularly after reperfusion, was higher in hearts treated with carvedilol, while the myocardial content of oxidised glutathione was significantly reduced (0.30+/-0.03 and 0.21+/-0.02 vs. 0.39+/-0.03 nmol/mg prot, both P&lt;0.01, in 0.1 and 2.0 microM). At the same time, carvedilol improved myocardium viability independently from its beta-blocking effect. On the contrary, propranolol maintained viability only at the higher dose, although to a lesser extent than carvedilol. This suggests that the effects of propranolol are dependent on energy saving due to negative inotropism. The extra-protection observed with carvedilol at both doses is likely due to its anti-oxidant effect. 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Carvedilol counteracted the ischemia and reperfusion induced oxidative stress: myocardial content of reduced glutathione, protein and non-protein sulfhydryl groups after ischaemia and particularly after reperfusion, was higher in hearts treated with carvedilol, while the myocardial content of oxidised glutathione was significantly reduced (0.30+/-0.03 and 0.21+/-0.02 vs. 0.39+/-0.03 nmol/mg prot, both P&lt;0.01, in 0.1 and 2.0 microM). At the same time, carvedilol improved myocardium viability independently from its beta-blocking effect. On the contrary, propranolol maintained viability only at the higher dose, although to a lesser extent than carvedilol. This suggests that the effects of propranolol are dependent on energy saving due to negative inotropism. The extra-protection observed with carvedilol at both doses is likely due to its anti-oxidant effect. Our data show that the anti-oxidant activity of carvedilol is relevant for the maintenance of myocardium viability.</description><subject>Adenosine Diphosphate - metabolism</subject><subject>Adenosine Triphosphate - metabolism</subject><subject>Adrenergic beta-Antagonists - therapeutic use</subject><subject>Analysis of Variance</subject><subject>Animals</subject><subject>Antianginal agents. Coronary vasodilator agents</subject><subject>Antioxidants - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Carbazoles - therapeutic use</subject><subject>Cardiovascular system</subject><subject>Carvedilol</subject><subject>Dose-Response Relationship, Drug</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Myocardial Reperfusion Injury - prevention &amp; control</subject><subject>Myocardium - metabolism</subject><subject>Oxidative Stress - drug effects</subject><subject>Perfusion</subject><subject>Pharmacology. 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Coronary vasodilator agents</topic><topic>Antioxidants - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Carbazoles - therapeutic use</topic><topic>Cardiovascular system</topic><topic>Carvedilol</topic><topic>Dose-Response Relationship, Drug</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Myocardial Reperfusion Injury - prevention &amp; control</topic><topic>Myocardium - metabolism</topic><topic>Oxidative Stress - drug effects</topic><topic>Perfusion</topic><topic>Pharmacology. 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Isolated rabbit hearts, subjected to aerobic perfusion, or low-flow ischaemia followed by reperfusion, were treated with two doses of carvedilol, one dose (2.0 microM) with marked negative inotropic effect due to beta-blockage and the other (0.1 microM) with no beta-blockage nor negative inotropism. Carvedilol was compared with two doses of propranolol, 1.0 - without - and 5.0 microM - with negative inotropic effect. Anti-oxidant activity was measured as the capacity to counteract the occurrence of oxidative stress and myocardium viability as recovery of left ventricular function on reperfusion, membrane damage and energetic status. Carvedilol counteracted the ischemia and reperfusion induced oxidative stress: myocardial content of reduced glutathione, protein and non-protein sulfhydryl groups after ischaemia and particularly after reperfusion, was higher in hearts treated with carvedilol, while the myocardial content of oxidised glutathione was significantly reduced (0.30+/-0.03 and 0.21+/-0.02 vs. 0.39+/-0.03 nmol/mg prot, both P&lt;0.01, in 0.1 and 2.0 microM). At the same time, carvedilol improved myocardium viability independently from its beta-blocking effect. On the contrary, propranolol maintained viability only at the higher dose, although to a lesser extent than carvedilol. This suggests that the effects of propranolol are dependent on energy saving due to negative inotropism. The extra-protection observed with carvedilol at both doses is likely due to its anti-oxidant effect. Our data show that the anti-oxidant activity of carvedilol is relevant for the maintenance of myocardium viability.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>10963728</pmid><doi>10.1016/s0008-6363(00)00082-1</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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1755-3245
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source MEDLINE; Oxford Journals Online; Alma/SFX Local Collection; EZB Electronic Journals Library
subjects Adenosine Diphosphate - metabolism
Adenosine Triphosphate - metabolism
Adrenergic beta-Antagonists - therapeutic use
Analysis of Variance
Animals
Antianginal agents. Coronary vasodilator agents
Antioxidants - therapeutic use
Biological and medical sciences
Carbazoles - therapeutic use
Cardiovascular system
Carvedilol
Dose-Response Relationship, Drug
Male
Medical sciences
Myocardial Reperfusion Injury - prevention & control
Myocardium - metabolism
Oxidative Stress - drug effects
Perfusion
Pharmacology. Drug treatments
Phosphocreatine - metabolism
Propanolamines - therapeutic use
Propranolol - therapeutic use
Rabbits
Random Allocation
title Reduction of oxidative stress by carvedilol: role in maintenance of ischaemic myocardium viability
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